The International Institute for Holocaust Research

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International Conference - Application Form

Hiding, Sheltering and Borrowing Identities as Avenues of Rescue During the Holocaust
19-21 December 2010

Step 1 - Personal Information

Title:*

First Name:*

Last Name:*

Gender: Male Female

Place of Birth:*

Date of Birth:*

Citizenship:*

Passport No.:

Home Address

Address Line 1:*

Address Line 2:

Address Line 3:

City:*

State/Province:

Country:*

ZIP/Postal Code:*

Phone Number:*

Cell Number:*

Email:*

* Required fields

Step 2 - Affiliate Institution Information

Current Position:*

Name of Institutional Affiliation:*

Address of Institution

Address Line 1:*

Address Line 2:

Address Line 3:

City:*

State/Province:

Country:*

ZIP/Postal Code:*

Phone Number:*

Fax Number:*

Website (URL):

* Required fields

Step 3 - Area of Expertise

Research Specialization

Title of Conference Presentation

List of Four Recent Publications

Step 4 - Additional Files to Submit

Applicants should submit along with this application form:

A one-page abstract (400 words) in English

Curriculum Vitae

A short academic biography (15-20 lines)

The application deadline is Monday, 15 March 2010.

Written application submissions may be sent to:
Eliot Nidam Orvieto
The International Institute for Holocaust Research
Yad Vashem
P.O. Box 3477
91034 Jerusalem
Israel

Email: eliot.nidam@yadvashem.org.il
Fax: 972-2-6443-479